NCLEX-PN
NCLEX Questions Safety and Infection Control Questions
Extract:
Question 1 of 5
A client has had heart failure. Which intervention is most important for the nurse to implement prior to the initial administration of digoxin to this client?
Correct Answer: A
Rationale: Assess the apical pulse, counting for a full 60 seconds. It is the nurse’s responsibility to take the client’s pulse before administering digoxin. The correct technique for taking an apical pulse is to use the stethoscope and listen for a full 60 seconds. Digoxin is held for a pulse below 60 beats per minute. A radial pulse, potentially less accurate, or blood pressure are not part of the initial assessment before administering an initial dose of digoxin.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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